AMERICAN JOURNAL OF CANCER RESEARCH, cilt.13, sa.9, ss.3854-3863, 2023 (SCI-Expanded)
Abstract: One of the most common extracranial solid tumors in childhood is neuroblastoma. In this study, it was
aimed to perform a systematic review and meta-analysis to evaluate the risk of neuroblastoma in both high and low
birth weights. The PRISMA and MOOSE guidelines were followed during the design, analysis, and reporting of this
study. A comprehensive literature search was undertaken for the published papers in Embase, PubMed/Medline,
Scopus, and the Web of Science (WoS) databases. The odds ratio (OR) of neuroblastoma in high and low birth weight
groups, with 95% confidence intervals (CIs), were calculated using the random-effects and fixed-effects models. A
total of 16 papers and 4,361,141 participants were included in this study. When the random-effects model and the
fixed-effects model were used, high birth weight was associated with an increased risk of neuroblastoma (OR = 1.17;
95% CI: 1.06-1.29, P = 0.002; heterogeneity: Chi2 = 2.33, df = 15, I2 = 0%, P>0.05). Similarly, it was observed that
individuals with low birth weights may also face an increased risk of developing neuroblastoma later in life (OR =
1.19; 95% CI: 1.03-1.37, P = 0.017; heterogeneity: Chi2 = 16.93, df = 15, I2 = 0%, P = 0.323). In conclusion, both
high and low birth weight in individuals may be among the important risk factors for neuroblastoma development.